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首页> 外文期刊>ANZ journal of surgery >Faecal incontinence after lateral internal sphincterotomy is often associated with coexisting occult sphincter defects: a study using endoanal ultrasonography.
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Faecal incontinence after lateral internal sphincterotomy is often associated with coexisting occult sphincter defects: a study using endoanal ultrasonography.

机译：外侧内括约肌切开术后大便失禁通常与隐匿性括约肌缺损并存：一项使用内镜超声检查的研究。

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摘要

BACKGROUND: Troublesome faecal incontinence following a lateral internal sphincterotomy (LIS) is often attributed to faulty surgical techniques: division of excessive amount of internal sphincter or inadvertent injury to the external sphincter. The aim of the present paper was to assess the anatomic and physiological factors that may contribute to faecal incontinence following a technically satisfactory lateral internal sphincterotomy by a group of colorectal specialists. METHODS: Fourteen patients (nine women, five men; median age: 38 years; range: 23-52 years) who developed troublesome postoperative faecal incontinence were evaluated by clinical assessment, endoanal ultrasonography and anorectal physiological studies (manometry, pudendal nerve terminal motor latency) by two independent observers. The Cleveland Clinic continence score (0-20; 0, perfect continence; 20, complete incontinence) was used to quantify the severity of faecal incontinence. Fourteen continent subjects after a LIS (nine female patients, five male patients; median age: 36 years; range: 20-44 years) were also evaluated as 'continent' controls (continence score
机译：背景：侧向内括约肌切开术（LIS）后出现麻烦的大便失禁通常归因于外科技术不完善：内部括约肌过多或对外部括约肌无意造成的损伤。本文的目的是评估一组结直肠专家在技术上令人满意的侧向内括约肌切开术后可能导致粪便失禁的解剖和生理因素。方法：通过临床评估，肛门内超声检查和肛门直肠生理学检查（测压，阴部神经末梢运动潜伏期）评估了十四名发生麻烦的大便后尿失禁的患者（九名女性，五名男性;中位年龄：38岁;范围：23-52岁）。 ）由两名独立的观察员进行。克利夫兰诊所的失禁评分（0-20; 0，完全失禁; 20，完全失禁）用于量化粪便失禁的严重程度。 LIS后的十四个大陆受试者（九名女性患者，五名男性患者;中位年龄：36岁;范围：20-44岁）也被评估为“大陆”对照（大陆得分

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